Individual
MS. LISA SUZANNE JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
15200 SHADY GROVE RD, SUITE 302, ROCKVILLE, MD 20850-3218
(240) 453-9182
(240) 453-9189
Mailing address
4840 CHEVY CHASE DR, CHEVY CHASE, MD 20815-6420
(703) 869-8019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R162632
MD
Other
Enumeration date
01/23/2006
Last updated
03/07/2010
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